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Oncoimmunology. 2015 Mar 02;4(6):e1008347. doi: 10.1080/2162402X.2015.1008347. eCollection 2015 Jun.

Exosomes isolated from plasma of glioma patients enrolled in a vaccination trial reflect antitumor immune activity and might predict survival.

Oncoimmunology

Laurent Muller, Sylvia Muller-Haegele, Masato Mitsuhashi, William Gooding, Hideho Okada, Theresa L Whiteside

Affiliations

  1. University of Pittsburgh Cancer Institute ; Pittsburgh, PA, USA ; Department of Otolaryngology and Head & Neck Surgery; University Hospital Basel ; Basel, Switzerland.
  2. University of Pittsburgh Cancer Institute ; Pittsburgh, PA, USA.
  3. Hitachi Chemical Research Center, Inc. ; Irvine, CA, USA.
  4. University of Pittsburgh Cancer Institute ; Pittsburgh, PA, USA ; Departments of Neurological Surgery; Surgery and Immunology; University of Pittsburgh School of Medicine ; Pittsburgh, PA, USA.
  5. University of Pittsburgh Cancer Institute ; Pittsburgh, PA, USA ; Departments of Pathology; Immunology and Otolaryngology; University of Pittsburgh School of Medicine ; Pittsburgh, PA, USA.

PMID: 26155415 PMCID: PMC4485717 DOI: 10.1080/2162402X.2015.1008347

Abstract

Exosomes in plasma of glioma patients hold promise as biomarkers of prognosis. We aimed to determine whether changes in total exosomal protein and mRNA expression levels could serve as surrogate markers of immunological and clinical responses in glioma patients receiving antitumor vaccines. Exosomes were isolated from pre/post-vaccine plasma specimens in 20/22 patients enrolled in a phase I/II trial with the antitumor vaccine. Exosomal protein content was analyzed and mRNA expression levels for 24 genes were simultaneously assessed by qRT-PCR. Pre- to post-vaccination changes in exosomal protein and ΔCt values were correlated with immunological and clinical responses and survival using Spearman rank statistics and hazard ratios (HR). Exosomal protein levels positively correlated (

Keywords: AA, anaplastic astrocytoma; AO, anaplastic oligodendroglioma; ATP, adenosine triphosphates; EV, extracellular vesicles; GAA, glioma associated antigens; GBM, glioblastoma multiforme; MRI, magnetic resonance imaging; NC, normal controls; OS, overall survival; PD-1, programmed death-1; PD-L1, programmed death ligand 1; TEM, transmission electron microscopy; TEX, tumor-derived exosomes; TTP, time to progression; glioma; mRNA; plasma-derived exosomes; survival; vaccination

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